1996, 09-03 Permit App: 96007279 Piping MECHANICAL PERMIT APPLICATION
PROJECT ADDRESS: 7 /,23 62. - s
OWNER: /14 fi K u,,,t, t , .S-c 4 i'
IC /% 'PHONE:DAYTIME CONTACT
\
,MAILING ADDRESS: .,5'. ??PI 31-//P7e ci Y, ( '?(:?`-7--i 2—2 5o (xiil,
-,_ , (street) ( ty/state) (zip)
---____
CONTRACTOR LICENSE:
- ----__ __----- PHONE:
MAILING ADD ESS
'- -S: ----------\
(Street) (city/state) (zip)
MULTI- COST
DESCRIPTION OF WORK OF UNITS LIED I /UNIT EQUALS AMOUNT
BOZ: FUEL BURNING APPLIANCE = or <100,000 = $12 = s
TIO.i FUEL BURNING APPLIANCE >100,000 = $15 - s
BOti UNLISTED APPLIANCE(ADDITIONAL CHARGE) =or <400,000 = $50 = s
ilk&UNLISTED APPLIANCE(ADDITIONAL CHARGE) >400,000 = $100 = s
V& USED APPLIANCE(Must meet WSEC's min. AFUE rating) =or <400,000 = $50 = s
iBUI:i] USED APPLIANCE(Must meet WSEC's min. AFUE rating) >400,000 = $100 = s
140.&
BOILER/REFRIGERATION 1-100M BTU = $12 = s
,
0.9:::.BOILER/REFRIGERATION 101-500M BTU = $20 = s
.:..:..:.
SIT BOILER/REFRIGERATION 501-1,000M BTU = $25 - s
TAM BOILER/REFRIGERATION 1,001-1,750M BTU = $35 = s
::., ::
:BIZ BOILER/REFRIGERATION +1,750M BTU = $60 = s
.:
TAM GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE - . $10 = s
iTt RANGE - . $10 = s
111.5 DRYER - . $10 = s
IA6 FUEL BURNING WATER HEATER - . $10 = s
117. MISCELLANEOUS FUEL BURNING APPLIANCE - . $10 = s
BM GAS PIPING(ea. outlet) - . $1 = s i
TAM DUCT SYSTEMS - . $10 = s
:.:.:.x::::::
BOX VENTILATING FANS - . , $10 = s
SW AIR HANDLER(DOES NOT include duct systems) = or <10,000 CFM = $12 - s
Iri2Z AIR HANDLER(DOES NOT include duct systems) >10,000 CFM = $15 = s
lin EVAPORATIVE COOLERS - = $10 = s
B24TYPE I HOOD - . $50 = s
T12.5 TYPE II HOOD - . $10 = s
I126. HEAT PUMP/AIR CONDITIONER 0-3 TONS = $12 - s
132Z AIR CONDITIONER 3-15 TONS = $20 - s
BM AIR CONDITIONER 15-30 TONS = $25 - s
1329: AIR CONDITIONER 30-50 TONS = $35 = s
1131I AIR CONDITIONER +50 TONS = $60 = s
.:.:::::::::::
131P.LPG STORAGE TANK - . $10 = s
:B32 WOOD OR PELLET STOVE/INSERT - . $25 = s
NOTE: MINIMUM PERMIT FEE IS$35.00 Subtotal
; --'-/) C / L PLUS: PROCESSING FEE $25.00
SIGNATURE: ,/ 7-x/ TOTAL PERMIT FEE DUE $ 35-7,C0
I i
PLEASE MAKE
Spokane County Division of Building& Planning !iiiiSPOKAtiCOVNIVinitifiliTiVENtEggil
1026 W. Broadway*Spokane,WA 99260
Tel. No. (509) 456-3675*Fax No. (509)324-3198*TDD No. (509)324-3166
Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or activities.
12/14/93 mostenesaliporn.Ed